Temporary Occupational Therapy Assistant

• Application Fee of $60
• Licensure Fee of $20
• Criminal History Records Check Fee of $21

• A temporary license is valid for six (6) months or until the results of the examination are available.

• Applicants for temporary licensure must submit:
  • Application with all sections completed;
  • Completed Supervisor's Affidavit;**
  • Official transcript or completed verification of education form;
  • Two appropriate references forms addressing ethical practice;
  • All applicants must submit documentation of NBCOT approval to sit for the certification examination; and
  • NPDB/HIPDB Self-query Report(s).
  **The Board must be notified of any change in the temporary licensee's supervisor. Such notification shall be in the form of a signed supervisor affidavit from the new supervisor and mailed directly to this office at the above address.

• Application form (PDF)

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• $20

• A temporary license is valid for six (6) months or until the results of the examination are available.

• The temporary license of a person who has failed the examination may be renewed one time at the discretion of the board. Please refer to Board Rules, Chapter 3, Section 2(2) for more information.